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Home My WebLink AboutPermit Mechanical 2009-1-9 Status Issued CITY OF SrKlr"lGFIELD Building/Combination Permit . PERMIT NO: ~OM2099-00033 ISSUED: 01/09/2009 APPLIED: 01/0912009 EXPIRES: 07/09/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 6560 THURSTON RD ASSESSOR'S PARCEL NO.: 1702341200205 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Mini split installation Owner: SWEENEY MICHAEL N & LAURIE J Address: 6560 THURSTON RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I. Contractor Type Electrical Mechanical Contractor License OWNER EUGENE HEATING & COOLING 149452 BUILDING INFORMATIONJ Expiration Date Phone 10/22/2009 541-726-7654 # of Units: Primary Occnpancy Group: Secondary Occupancy Group: Primary Coustruction Type Secoudary Construction Type: # of Bedrooms: # of St~ries: Height of Structure Type of Heat: Water Type: Range Type: Euergy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a '. DEVELOPMENT INFORMATION 1 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: PTTr-t\ITlnf\l' nrp(lr1n I;lW n::~mJirp'r:; \r()JJ tQ I PUBLIC IMPROVEMENTS,.lles adopted by the Oregon Utility . ': _ ::.; _ uu on Center. Those rules are setforth Street Improvements: in OAR 952-01SId~~a!Mlixp,ejh OAR 952-001- St S A'I ~'nT1CE' ' 0090, You maD" obtain CtQ,r.lD;8S .of the rules by orm ewer val a e:~ . . . ' ownsp9:u s r.ams: S . I I t f HIS P calling the cemer. (Nore: Ine releohone peCIa ns ruc IOn:AUTHO ERMIT SHALL EXPIRE IF T number for the Oregon Utility Notiiication N CO RilED UNDeR THIS P HE WORK Center is 1-800-332-2344), otes: MMENC, E.o~, ~ ERMIT IS NOT ANY '80 DA0~fO FDR ~0:' Paee 1 of 3 _'Ill~"~RFil!~I , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Tvpe of Construction Fee Description + 12% State Snrcharge + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee , Add, Alter, Extend Circ Ea Add Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Perm Serv/Fdr 200 amps or less Total Amount Paid I Valuation Oes~~iDtion' $PerSq Ft or multiplier Square Footage or Bid Amount CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00033 ISSUED: 01/09/2009 APPLIED: 01/0912009 EXPIRES: 07/09/2009 VALUE: Value Date Calculated Total Value of Project FpP~. pqWJ Amount Paid Date Paid Receipt Number 2200900000000000028 2200900000000000031 2200900000000000028 2200900000000000031 2200900000000000031 2200900000000000028 2200900000000000028 2200900000000000028 2200900000000000031 To Request an inspection call the, 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. ' $9.48 $11.16 $3,95 $4,65 $12.00 $17.00 $17,00 $45,00 $8'1.00 1/9/09 1/9/09 1/9/09 1/9/09 1/9/09 1/9/09 1/9/09 1/9/09 1/9/09 $201.24 I Plan Reviews I I R~nllirprl Jn~nprt&l Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete, Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, Paee 2 of3 225 Fifth Street. Springfield, OR 97477HH(541)726-3753+FAX(541)726-3689 , 1;~1'iitDEP:&;Rl1MENTtlISEIO~y:,:j~~1 ;rph;rJji~;,t~l',,.~i,''!(~~'''ri*kgf':i,\:~*~;t;1i:.~ I Permit no,:t,aIY\L()'.)'1 ---00 ok >- I I' ~C,1-- eJ') I Date: Electrical Permit Application This permit is issued under OAR 918-309-0000, Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ~iiil^~I!0:C:<<l!iG'QVEBNnnENiT'~ReR0V.6;~_ ~~~~~~"iIiEI;1iscf;!ED.t!l!E' I I Zoning approval verified? 0 Yes 0 No - l'tOial~1 Il!IIl,,~~1(G~l1EGORY~.!:5fiIG0N~T(RI.iJ.GjliI0N~~~1 ;.:ml.m~,., I Residential, per unit, service ~ncluded: I IMResidential I 0 Government ' I 0 Commercial I~Qi3lsl;r;EilINIi0B.M:<<\J!JQN~AN[j:rrfI!c;rG'MjI0N~~ 11,000 sq. ft. Or less (4) $134.00 $ I I '1 Each additional 500 sq, ft, or portion I Job site address: (€,54oO 7kv,.--:5 -/-oN ~d, thereof $ 25.00 $ I City: 5r/A.J).PrelJ, I State: ()r<, I ZIP: f7Cf1'i I I Limited energy (2) $ 32.00 $ I 1~~~S~~~~~R~~'~N~~W:;~:::Ti I ::~:::::~;~::re~:s~~::;:~:C::::ratjnn, reln:at::~OO $ I (, Nt C' /. f- I I I 200 amps or less (2) \ $ 81.00 $ 21. o~ _ '+rJr /11;"'; --.JfJlif /ileA; iJu/l1.-{j I ~~'lii'l:;~il"'~RRQ""ER.'I1Y;i[OWJllER~Wl\t~~~~f;'i;;~1 1201 to 400 amps (2) ~j $ 95.00 $ I I Name: 10'c-/trU./ "'f'--L,twr/e.. SWe.R-fJV-j I I 401 to 600 amps (2) / $158.00 $ I I Address: fo6~,O 7hW5/vIU I<d. I I 601 to 1,000 amps (2) $205.00 $ I I City:5,a-!'--IJ I State: i>>< I ZIP: 97L/7g' I I Over 1,000 amps or volts (2) $469.00 $ I I Phone1fQJ-1I1- C;oofl Fax: I I Reconnect only (2) $ 63.00 $ I I E-mail: I I Temporary serv'ices o'r feeders: installation, alteration, relocation I This installation is being made on residential or farm property I 200 amps or less (2) $ 63.00 $ I owned by me or a member of my immediate family. This I 201 to 400 amp"(2) $ 87.00 $ I property is not intended for sale, excnange, lease, or rent OAR 479.540(1) and 479.560(1). I 401 to_~Q."IO'Ps (2) $126.00 $ I Signatu!e0L--J~~' I OV1(9R~.~~pAg[:'t<iqQ.~RJts, s'~e.serv~ces orfeeqers section above I 1~==:::~NmM(:mQW~INsmp.:~l!A'mGN-'~f~t~~i I :r;;~;::~~~~~;~~;~~~,:~~:r:~~:"~~n:'::,::~rlfeeder fee I Address: . I I E~2h'"'bran~hla~~~tit VU~~111 \"~}J;,c',~ \.11 li it: I' u'f~6\OO I I L..(./,"ll\j "''''' \...l1tP.L (f'\!(,t(.l the toloF,h,,,~,,' $ I City: I State: / ZIP: I b. F)leJfoiQra?ch"d.ir,c.uit$~~~h_o.~HP'I}.~~rl~~gL~;~e.rrJinor feeder fee: I I Phone: I Fax: I First brancii'W~tflt (2) ,-tiUU-;;S;;S"-,,, ~ _ $ 55.00 $ I I E-mail: I Each additional branch circuit. Z-- $ 6.00 $/l. ~ I CCB license no.: I BCD license no.: I Mis~ellaneous fees: service or feeder not included I I Signing supervisor's license no.: I Each pump or irrigation circle (2) $ 63.00 $ I I 'Print name of signing supervisor: I Each sign or outline lighting (2) $ 63.00 $ I 1 Signature of signing supervisor: I Signal circuit or a limited-energy panel, I $ 63.00 $ I alteration, ,?f extension (2) 1==~~,S~~~tiO'~:;_(;),~''',','_'lIfL__, -=~~ '-, .1 ~,___.;w,,-~AP'RI1IGANiT'll>8.SE~'fuIl!!_!~ .~iiiiil (A) Enter subtotal of above fees I (Minimum Permit Fee $58.00) $ I (B) Enter 12% surcharge (.12 x [AD I $ I I (C) TechilOlogy Fee (5% of[AD $ I I TOTAL rees and surcharges (A through C): $ /08 r S' / I NOTICE: THIS PERMIT SH ' ~UTl-IORIZED UN~LL EXPIRE IF Tl-iE WORK COMMENCED OR I~~ THIS PERMIT IS NOT ANY 180 DA\' PE I BANDONED FOR . R~D I . . 440-2584-J (9/08/COM) Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00033 ISSUED: 01/0912009 APPLIED: 01/09/2009 EXPIRES: 07/09/2009 VALUE: By signatnre, I state and agree, that I have carefully examined the completed applicatiou aud do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety, I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensnre that all required inspections are requested at the proper 'time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Paee 3 of 3 Date o .' G~-~OO~? Construction Conttactors Board ~ . Permit#:'. / Y , -=> '. ,. 700Surnrner St NE Suite ~OO Adm:ss:-.&ft:"=:>0' :?J;; / ~j6r--, ' _ PO Box 14140 ." " '" .:., ~ - -' , i' .! Salem OR 97399.5052 . . ',:., Iss.;eaOY://"~/..</\' '" . ~ate: /___ 'J".-- 0 '7 '" ." Phone:. 503-378.4621 " / (I ' , ".. ..... . Web Address: WWW.CCb;state:or.~s.. ,_ '. ',.:. / statement: Information Noti~e to-Property Owne~s , About Construction Responsibilities -\ " .r ." . Note: Oregon Law, ORS 701,055(4)'requires residential construction permit applicants who are not licensed with the ConstruCtion Con!ractors Board fa sign the following statement before a building permit'can be issued. This'statement is requiredforresidential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, eiempt from licensing under . ORS701:010(7), need not submit this statement,. ,This statement will be filed with the permit. . '. . . . . . Fill in the app.vp.:ate bl3nks and initial boxes 1 and 2, and'~itlie! box 3A or.3B:. , . ~, ~. . I own, reside in, or will reside in the completed structure. ... .". . 0 2. J I understand that! must become licensed as a construction contractor'ifthe structure is sold or . offered for sale before or on' completion.'.-. ,. 'It, '3A. My g:ne~al contracto~ is/1tUi.tH-( iV'5~UlVeq ,,' VI . . . (Name) / (CCB#) ~V~ . , . . I will instruct my general contractor that all subcontractors who~ork on.the structure musrbe licensed with the Con'struction Contractors Board_ ,. - OR ~ 3B. I will be my own general contractor. 6\~\~' If! hire subcontractors, I will hire only subcontractors licensed with,the Construction Contractors' Board. ,If! change my mind and hire a general contra9tor,-,1 will contract with a co~!J:actor who is, . licensed with the CCB and will immediately notify:the.office issuing this building permit of the name of the contractor. -. " . - ... , I hereby certify that ttie above information is correct and that I have read and do understand the Information ' Notice toPropert): Owner~aboutConstruction Responsibilities ontpe reverse side oftbis form, cX~'~ ;11j()'9 (Signature otE)rmit applicant) I (Date) ;.,;. (Whi~e c.opy to issuing agency permit file, pink copy to. applicant.) " . Pro~erty~owner.doc 06~Ol-04 '0 ~. '. . ,." 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Offi~ial Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00033 COM2009-00033 COM2009-00033 COM2009-00033 Payments: Type of Payment . Check cRcceint I RECEIPT #: 2200900000000000031 Date: 0110912009 Description Penn Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By MICHAEL N SWEENEY Item Total: Check Number Authorization Received.By Batch Number Number How Received njm 3526 In Person Payment Total: Page I of I 10:40:49AM Amount Due 81.00 12.00 4.65 11.16 $108.81 Amount Paid $108,81 $108.81 1/9/2009